Prioritizing Malaria Control in a Time of Foreign Aid Austerity

AEI Health Policy Outlook, No. 4

6 Pages Posted: 22 Oct 2013

See all articles by Roger Bate

Roger Bate

American Enterprise Institute (AEI)

Kimberly Hess

Africa Fighting Malaria (US)

Date Written: October 3, 2012


With the entire US budget on the chopping block, small-ticket items such as the US global health budget — a total expenditure of around $8.6 billion — will necessarily attract less attention than sequestration of the defense budget or cuts to Social Security. But while America’s global health budget consumes only a fraction of one percent of total government spending, these funds can mean life or death for thousands around the globe. In straightened financial times, budget cuts should be based on an assessment of which programs work best and an evaluation of how to strengthen the most successful interventions while trimming the fat from less effective ones. This Outlook assesses the impact and effectiveness of the President’s Malaria Initiative (PMI) and finds that PMI has been remarkably successful in its management and control practices, cutting malaria incidence and child mortality rates, compensating for failures in other global health programs, and keeping corruption levels low. Despite all these strengths, PMI faces nearly 5 percent budget cuts (or even termination by the end of 2013), while other multilateral programs that are widely acknowledged to be less effective are picking up new money. Without the help of PMI, many of the significant gains that have been made in malaria control could be reversed.

Suggested Citation

Bate, Roger and Hess, Kimberly, Prioritizing Malaria Control in a Time of Foreign Aid Austerity (October 3, 2012). AEI Health Policy Outlook, No. 4, Available at SSRN: or

Roger Bate (Contact Author)

American Enterprise Institute (AEI) ( email )

1150 17th Street, N.W.
Washington, DC 20036
United States

Kimberly Hess

Africa Fighting Malaria (US) ( email )

Washington, DC
United States

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